NPI registry status
Active
2026 NPPES data Family Medicine Physician NPI 1649464439 DO, PHD
Verify on CMS → Thomas Carter, DO, PHD
Family Medicine Physician in Wheatfield, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 147,760 in Family Medicine Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
229
Medicare Part D claims · 87 beneficiaries · Family Medicine Physician avg: 3K
MIPS score
69.9/100
▼ 14 pts below national avg 83.5 · Mid-tier
Industry payments
$519.83
25 payments · CMS Open Payments (Sunshine Act)
What the federal data shows
Thomas Carter, DO, PHD reported a CMS MIPS final score of 69.9/100 - below the 83.5 national average - and filed 229 Medicare Part D claims in 2023.
- 69.9/100
- MIPS score · -14 vs avg
- 229
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥8th
- pct among measured MIPS (lower-bound band)
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
CMS NPPES provider registry desk
NPI 1649464439 · Family Medicine Physician
NPI-10 · ENUM-MID · TAX-MEGA · MIPS-LOW · RX-LIGHT · BOOK-LIGHT · PHOTO-FINISH
- NPI-10 1649464439
- ENUM-MID 2007
- TAX-MEGA 148K Family Medicine
- MIPS-LOW 69.9/100
- RX-LIGHT 229
- BOOK-LIGHT 3,321 in Indiana
- PHOTO-FINISH Sherri Barnard · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Carter · this pr…
Carter · this provider
69.9 MIPS pts
- Joseph Jimenez ·…
Joseph Jimenez
69.9 MIPS pts
- Sherri Barnard ·…
Sherri Barnard
69.9 MIPS pts
- Katherine Broman…
Katherine Broman
69.9 MIPS pts
- Thomas Goodell ·…
Thomas Goodell
69.9 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Thomas Carter, DO, PHD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
70 ≥ 8th percentile 8% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Thomas Carter, DO, PHD sits
This provider among family medicine physician peers
Across the 21,266 family medicine physician providers who report both Medicare Part D prescribing and a MIPS quality score, Thomas Carter, DO, PHD writes more Part D claims than 14% of them and scores higher on MIPS quality than 11% - placing this provider in the lower-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one family medicine physician peer from a representative sample of 60; the gold marker is Thomas Carter, DO, PHD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Thomas Carter, DO, PHD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 4 hospital affiliations - signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).
What does the federal data show about Thomas Carter, DO, PHD?
Below national averagePrimary specialty
Family Medicine Physician
Medicare Part D claims
229 93% vs specialty avg
MIPS final score
69.9/100 13.6 pts vs avg
Specialty distribution in Indiana
How Family Medicine Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Thomas Carter, DO, PHD's 2023 MIPS final score plotted against the Family Medicine Physician national average
- MIPS Final Score
- 69.9/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1649464439 |
|---|---|
| Specialty | Family Medicine Physician |
| Credentials | DO, PHD |
| Gender | Male |
| NPI Issued | 09/05/2007 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
69.8615
Final Score
Measured-score avg: 83.5
77.0425
Quality
15.83
Cost
95
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Thomas Carter, DO, PHD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" - a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.
According to CMS billing records, Thomas Carter, DO, PHD is affiliated with 4 Medicare-billing facilities across 2 states.
LA Porte Clinic Company LLC
Knox, IN
Mednow Clinics, Inc
Aurora, CO
Porter Physician Services LLC
Wheatfield, IN
Trinidad Area Health Association
Trinidad, CO
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Industry payments received (2024) - CMS Open Payments transparency data
The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for Thomas Carter, DO, PHD. Source: openpaymentsdata.cms.gov.
Total received
$520
Largest payer
ABBVIE INC.
Most common payment type
Food and Beverage
Industry payments are not necessarily indicators of bias, they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.
Medicare Part D Prescribing Data
CMS Medicare Part D prescriber-level data for calendar year 2023.
229
Total Claims
$15K
Total Drug Cost
87
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 328
- Total Day Supply
- 7,954
- Generic Drug Cost
- $3K
- Antibiotic Claims
- 51
Patient Demographics
- Average Patient Age
- 74.8 years
- Avg HCC Risk Score
- 1.66
- Gender Split
- 48% female / 52% male
Top Prescribed Drugs (Medicare Part D)
Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.
| Drug | Claims |
|---|---|
| Losartan Potassium | 24 |
| Cefdinir | 11 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Family Medicine Physician Overview
How Thomas Carter, DO, PHD fits within the Family Medicine Physician landscape nationally.
147,760
Family Medicine Physician Providers in US
56
States with Family Medicine Physician
3,418
Avg Claims per Provider
Thomas Carter, DO, PHD's 229 claims are below the specialty average of 3,418.
Nationwide Family Medicine Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Carter, both outside Indiana so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (69.9 here).
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Family Medicine Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Carter.
One of 3,321 Family Medicine Physician providers enrolled in Indiana, 5 are shown here.
Dr. Faryaal Aamir
MD
Boonville, IN
Dr. Troy Abbott
MD
Muncie, IN
Dr. Musa Abdalla
M. D.
Lagrange, IN
Dr. Azra Abdullah
M.D.
Indianapolis, IN
Dr. Daniel Abel
M.D.
Mishawaka, IN
Compare Family Medicine Physician nationally: see state-by-state distribution →
Frequently Asked Questions
What is Thomas Carter, DO, PHD's specialty? ▼
Thomas Carter, DO, PHD specializes in Family Medicine Physician and practices in Wheatfield, Indiana. Credentials: DO, PHD.
How much does Thomas Carter, DO, PHD prescribe under Medicare Part D? ▼
In 2023, Thomas Carter, DO, PHD wrote 229 Medicare Part D claims totaling $15K in drug costs for 87 beneficiaries.
What is Thomas Carter, DO, PHD's Medicare quality score? ▼
Thomas Carter, DO, PHD has a CMS MIPS Final Score of 69.9/100 (Quality: 77, Cost: 15.8). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Thomas Carter, DO, PHD located? ▼
Thomas Carter, DO, PHD is located at 3988 W STATE ROAD 10, Wheatfield, IN, 46392. Phone: (219) 987-3581.
What is Thomas Carter, DO, PHD's NPI number? ▼
Thomas Carter, DO, PHD's National Provider Identifier (NPI) is 1649464439, issued on 09/05/2007.
How many Family Medicine Physician providers are there in the US? ▼
There are 147,760 Family Medicine Physician providers across 56 states in the US. The average Family Medicine Physician provider writes 3,418 Medicare Part D claims per year.
What drugs does Thomas Carter, DO, PHD prescribe most often? ▼
Based on 2023 Medicare Part D data, Thomas Carter, DO, PHD's most frequently prescribed drugs include Losartan Potassium, Cefdinir. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Thomas Carter, DO, PHD accept Medicare? ▼
Thomas Carter, DO, PHD appears in CMS Medicare data with 229 Part D claims and 87 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Carter, DO, PHD's credentials? ▼
Thomas Carter, DO, PHD's NPI is 1649464439 with credentials DO, PHD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Prescribing Data
- CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
- Quality Performance
- CMS Merit-based Incentive Payment System (MIPS) - 2023 performance year.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.